Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.18 / $15.16 / $28.61	Facility	26	$14.18	$15.16	$28.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $38.50 / $80.59	Professional		$29.93	$38.50	$80.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.18 / $18.79 / $35.93	Professional	26	$14.18	$18.79	$35.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $32.44 / $45.87	Professional		$16.80	$32.44	$45.87
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $21.01 / $21.01 / $22.16	Professional	26	$21.01	$21.01	$22.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.10 / $25.10 / $25.10	Facility	26	$25.10	$25.10	$25.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $63.90 / $129.28	Professional		$38.95	$63.90	$129.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $26.99 / $53.65	Professional	26	$18.30	$26.99	$53.65
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $78.53 / $113.10 / $113.10	Facility	26	$78.53	$113.10	$113.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $497.00 / $497.00	Professional		$497.00	$497.00	$497.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $320.31 / $320.31 / $320.31	Professional	26	$320.31	$320.31	$320.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $67.94 / $104.32	Professional		$43.50	$67.94	$104.32
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.42 / $32.51 / $86.68	Professional	26	$25.42	$32.51	$86.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.69 / $181.10	Professional		$91.20	$128.69	$181.10
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $25.10 / $25.10 / $25.10	Facility	26	$25.10	$25.10	$25.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $64.41 / $132.16	Professional		$38.95	$64.41	$132.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $26.10 / $53.56	Professional	26	$18.71	$26.10	$53.56
United Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $65.98 / $97.20	Professional		$44.17	$65.98	$97.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.94 / $28.16 / $40.60	Professional	26	$19.94	$28.16	$40.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $43.50 / $61.52	Professional		$38.65	$43.50	$61.52
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $21.19 / $29.67	Professional	26	$18.48	$21.19	$29.67